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Age- versus time-comparative self-rated health in Hong Kong Chinese older adults
- Author:
- LI Zhi Bin
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(8), August 2006, pp.729-739.
- Publisher:
- Wiley
The main objectives were to examine the relation between age-comparative (self vs others of same age) self-rated health (SRH) and time-comparative (self this year vs last year) SRH, and to evaluate which was more strongly associated with specific physical health problems. Cross-sectional data on two SRH measures and various physical health problems from 18749 male and 37413 female clients aged 65 or over from 18 Elderly Health Centres in Hong Kong were analysed using logistic regression with adjustment for potential confounders. Men were more likely to report better and less likely to report worse SRH than women. Normal was the most common option but the proportions choosing this decreased with age on both SRH measures. There was a fairly weak but statistically significant correlation between these two measures, with Kappa coefficients of 0.125 and 0.167 for men and women, respectively. For both men and women, there were significantly positive linear trends between age-comparative SRH options from better to worse and physical health problems, such as respiratory diseases, musculoskeletal diseases, any active chronic diseases, functional disability, depressive symptoms, taking medication regularly, and admission to hospital last year. However, for time-comparative SRH, those who rated normal had the smallest odds ratios in all of the physical health problems above than those who rated better or worse. The two SRH measures correlated with each other weakly but significantly. Age-comparative SRH was linearly, and time-comparative SRH was curvilinearly associated with physical health problems.
HIV/AIDS and aging a diverse population of vulnerable older adults
- Author:
- EMLET Charles A.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 9(3), 2004, pp.45-63.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Older adults, those age 50 and over, have continually represented approximately 10-15% of all cases of AIDS reported to the Centers for Disease Control and Prevention. In addition to those infected with HIV, many older adult caregivers are affected by HIV/AIDS. Despite these figures, social workers and other providers of health care are often unaware of the needs of these growing populations. Older adults with HIV/AIDS as well as those affected by the disease represent diverse backgrounds in gender, ethnicity, sexual orientation, and exposure to HIV. Additionally, older adults present special issues and challenges not always present in younger individuals with HIV/AIDS. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Comorbidity and risk-patterns of depression, generalised anxiety disorder and mixed anxiety-depression in later life: results from the AMSTEL study
- Authors:
- SCHOEVERS R. A., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(11), November 2003, pp.994-1001.
- Publisher:
- Wiley
Depression and generalised anxiety disorder frequently overlap. The question remains unresolved whether these are specific disorders, or that they represent different dimensions of a single disorder. Although both are highly prevalent disorders in this age group, studies on this issue in the elderly are scarce. Research is needed that investigates patterns of comorbidity and possibly different risk profiles for pure depression, pure generalised anxiety and mixed anxiety-depression in older people. GMS-AGECAT diagnoses were obtained from 4051 community living older persons. Comorbidity was studied along a severity gradient for men and women separately. Multivariate analysis of risk factors included demographic variables, environmental vulnerability, longstanding vulnerability, physical/functional stresses and gender. The prevalence of pure depression was 12.2%, pure generalised anxiety 2.9%, mixed anxiety-depression 1.8%. Comorbidity increased with higher severity levels of both depression and generalised anxiety. Comorbidity was twice as likely in women than in men. Different risk profiles for diagnostic categories were not demonstrated for concurrent risk factors. Longstanding vulnerability was associated significantly stronger with mixed anxiety-depression than with pure Anxiety and pure depression. Mixed anxiety-depression was overrepresented in women. Both lines of investigation suggest that, in the elderly, a dimensional classification is more appropriate than a categorical classification of depression and generalised anxiety. Mixed anxiety-depression is a more severe form of psychopathology that is almost specific to women in this age group.
Voices of older people from Asia-Pacific
- Author:
- HELPAGE INTERNATIONAL
- Publisher:
- HelpAge International
- Publication year:
- 2002
- Pagination:
- 16p.
- Place of publication:
- Chiang Mai, Thailand
Poor older people across the Asia Pacific region have long been worried about poverty and poor health. Reductions in support provided by the traditional extended family, and the impacts of HIV/AIDS and emergencies, are more recent concerns. Two underlying issues are social, political and economic exclusion, and gender biases. Poor older people are excluded by design or by default from a range of programmes.
Elder abuse: practitioner's guide
- Authors:
- PENHALE Bridget, PARKER Jonathan, KINGSTON Paul
- Publisher:
- Venture Press
- Publication year:
- 2000
- Pagination:
- 73p.,bibliog.
- Place of publication:
- Birmingham
This book provides an overview of contemporary developments relating to practice and policy in situations of elder abuse and neglect. It covers such areas as definition, potential risk factors and practice issues including intervention and assessment. Contents include: overview; power and gender in elder abuse; assessment, vulnerability and protection in elder abuse; interventions in elder abuse.